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Selective Decontamination Of The Digestive Tract Sdd


Selective Decontamination Of The Digestive Tract Sdd
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Selective Decontamination Of The Digestive Tract Sdd


Selective Decontamination Of The Digestive Tract Sdd
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Author : Hans Rommes
language : en
Publisher: Springer Nature
Release Date : 2021-03-08

Selective Decontamination Of The Digestive Tract Sdd written by Hans Rommes and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-03-08 with Medical categories.


This book explains the basic concepts of Selective Decontamination of the Digestive tract (SDD) to help those involved in treating critically ill patients to improve outcomes and the quality of care. SDD has led to major changes in our understanding, the treatment and prevention of infections in critically ill patients over the past 40 years. It is the most studied intervention in intensive care medicine and is the subject of 73 randomized controlled trials, including over 15000 patients and 15 meta-analyses. SDD reduces morbidity and mortality, is cost-effective and safe as SDD does not increase antimicrobial resistance. Correct application of the SDD strategy enables ICU teams to control infections – even in ICUs with endemic antibiotic resistant microorganisms such as methicillin resistant S. aureus (MRSA). Describing the concept and application of SDD, and presenting case studies and microbiological flow charts, this practical guide will appeal to intensivists, critical care practitioners, junior doctors, microbiologists and ICU-nurses as well as infection control specialists and pharmacists.



Selective Digestive Tract Decontamination In Intensive Care Medicine A Practical Guide To Controlling Infection


Selective Digestive Tract Decontamination In Intensive Care Medicine A Practical Guide To Controlling Infection
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Author : Peter H.J. van der Voort
language : en
Publisher: Springer Science & Business Media
Release Date : 2008-03-12

Selective Digestive Tract Decontamination In Intensive Care Medicine A Practical Guide To Controlling Infection written by Peter H.J. van der Voort and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-03-12 with Medical categories.


Selective decontamination of the digestive tract (SDD) is an antibiotic strategy which aims to prevent secondary infections in critically ill patients. In this book, intensive care physicians will find the answers to problems they encounter in daily practice concerning infection prevention by the use of SDD. Physicians who have not practiced the strategy so far, and wishing to start it, will find all the information they need for a successful SDD implementation.



Selective Decontamination Of The Digestive Tract


Selective Decontamination Of The Digestive Tract
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Author : Hillechiena G. de Vries-Hospers
language : en
Publisher:
Release Date : 1981

Selective Decontamination Of The Digestive Tract written by Hillechiena G. de Vries-Hospers and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1981 with categories.




Infection Control In The Intensive Care Unit


Infection Control In The Intensive Care Unit
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Author : Hendrick K.F. van Saene
language : en
Publisher: Springer Science & Business Media
Release Date : 2009-11-02

Infection Control In The Intensive Care Unit written by Hendrick K.F. van Saene and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-11-02 with Medical categories.


Intensive care is a rapidly changing area of medicine, and after four years from the 2nd edition the volume editors and authors have deemed necessary to update it. In the recent years, in fact, five new randomised controlled trials and five new meta-analyses demonstrate that selective decontamination of the digestive tract [SDD] is an antimicrobial prophylaxis to prevent severe infections of not only lower airways but also of blood. Additionally, SDD has been shown to reduce inflammation including multiple organ failure and mortality. An intriguing observation is the evidence that SDD using parenteral and enteral antimicrobials reduces rather than increases antimicrobial resistance. Moreover, a new chapter on microcirculation had been added. The volume will be an invaluable tool for all those requiring in depth knowledge in the ever expanding field of infection control.



Case Studies In Adult Intensive Care Medicine


Case Studies In Adult Intensive Care Medicine
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Author : Daniele Bryden
language : en
Publisher: Cambridge University Press
Release Date : 2017-04-20

Case Studies In Adult Intensive Care Medicine written by Daniele Bryden and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-04-20 with Medical categories.


This case-based approach to the intensive care medicine curriculum provides 48 case studies linking core knowledge to clinical context. Topics chosen have been mapped to eight key areas of study, making this ideal for both FFICM and EDIC exam candidates.



Surgical Intensive Care Medicine


Surgical Intensive Care Medicine
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Author : John Merrit O'Donnell
language : en
Publisher: Springer Science & Business Media
Release Date : 2013-11-21

Surgical Intensive Care Medicine written by John Merrit O'Donnell and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-11-21 with Medical categories.


Surgical Intensive Care Medicine has been specifically designed to be a practical reference for medical students and house officers to help manage the critically ill surgical patient. The first section is titled “Resuscitation” and exposes the reader to a condensed version of generic topics in primary intensive care medicine. The sections that follow have been categorized according to medical and surgical subspecialties and cover the most germane of problems encountered in a tertiary surgical intensive care unit. Sections of certain chapters, while repetitive, have been left intact in an attempt to maintain the authors' messages and provide the reader with some contradictory but referenced views. The technical chapters describe a very introductory approach to various exercises such as airway management and vascular cannulation.



Core Topics In Critical Care Medicine


Core Topics In Critical Care Medicine
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Author : Fang Gao Smith
language : en
Publisher: Cambridge University Press
Release Date : 2010-04-22

Core Topics In Critical Care Medicine written by Fang Gao Smith and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-04-22 with Medical categories.


The critical care unit manages patients with a vast range of disease and injuries affecting every organ system. The unit can initially be a daunting environment, with complex monitoring equipment producing large volumes of clinical data. Core Topics in Critical Care Medicine is a practical, comprehensive, introductory-level text for any clinician in their first few months in the critical care unit. It guides clinicians in both the initial assessment and the clinical management of all CCU patients, demystifying the critical care unit and providing key knowledge in a concise and accessible manner. The full spectrum of disorders likely to be encountered in critical care are discussed, with additional chapters on transfer and admission, imaging in the CCU, structure and organisation of the unit, and ethical and legal issues. Written by Critical Care experts, Core Topics in Critical Care Medicine provides comprehensive, concise and easily accessible information for all trainees.



Selective Decontamination Of The Digestive Tract And Endotoxaemia


Selective Decontamination Of The Digestive Tract And Endotoxaemia
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Author :
language : en
Publisher:
Release Date : 1993

Selective Decontamination Of The Digestive Tract And Endotoxaemia written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1993 with categories.




Reducing Mortality In Critically Ill Patients


Reducing Mortality In Critically Ill Patients
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Author : Giovanni Landoni
language : en
Publisher: Springer Nature
Release Date : 2021-06-08

Reducing Mortality In Critically Ill Patients written by Giovanni Landoni and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-06-08 with Medical categories.


The 2nd edition of this book describes the recent techniques, strategies, and drugs that have been demonstrated by multicenter randomized trials to influence survival in critically ill, defined as those who have acute failure of at least one organ, due to either a pathological condition or a medical intervention, and require intensive care treatment. Each chapter focuses on a specific procedure, device, or drug. The scope is accordingly wide, with coverage of topics as diverse as noninvasive mechanical ventilation, protective ventilation, prone positioning, intravenous salbutamol in ARDS, high-frequency oscillatory ventilation, mild hypothermia after cardiac arrest, daily interruption of sedatives, tranexamic acid, diaspirin cross-linked hemoglobin, albumin, growth hormone, glutamine supplementation, tight glucose control, supranormal oxygen delivery, and hydroxyethyl starch in sepsis. The topics selection was performed with the help of hundreds of specialists from dozens of countries; they expressed via web if they agreed or not with these topics and if they used them in their daily clinical practice. The clear text is supported by "how to do" sections and "key point" boxes that provide easily accessible practical information. Written by acknowledged international experts, Reducing Mortality in Critically Ill Patients is of interest for a wide variety of specialists, including intensivists, emergency doctors, and anesthesiologists.



Selective Decontamination Of The Digestive Tract In Elective Gastrointestinal Surgery


Selective Decontamination Of The Digestive Tract In Elective Gastrointestinal Surgery
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Author :
language : en
Publisher:
Release Date : 2013

Selective Decontamination Of The Digestive Tract In Elective Gastrointestinal Surgery written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with categories.


"Gastrointestinal (GI) surgery and especially colorectal surgery is associated with a high risk of postoperative infections due to contamination by bacteria in the large intestine. These postoperative infectious complications increase hospital stay and costs of treatment. The most common infectious complications after surgery are urinary tract, wound and pulmonary infections. These mainly Gram negative infections generally originate from the patient's own digestive tract. The use of oral antibiotics on top of systemic antibiotic treatment, was introduced into intensive care medicine by Chris Stoutenbeek in 1984 as an infection-prophylaxis regimen to reduce or even eradicate aerobic potentially pathogenic microorganisms (PPMs) , from oro-pharynx to rectum, while leaving the normal anaerobic flora, who are responsible for maintaining a sufficient colonisation resistance, largely undisturbed. It was called selective decontamination of the digestive tract (SDD) and consisted of a topical, non-absorbable, antibiotic combination of Polymixin, Tobramycin and Amphotericin B, which was taken orally, four times daily. A significant decrease in bloodstream- and respiratory infections and mortality was found on the ICU population. The aim of this thesis was to analyse the effect of peri-operative SDD combined with systemic perioperative antibiotics in elective gastrointestinal surgery, on postoperative infectious complications and anastomotic leakage. We therefore performed a retrospective analysis, a randomised clinical trial, a cost-effectiveness study, a systematic review and meta-analysis of the literature to determine the effect of SDD in GI surgery. Furthermore, we hope that this thesis gives an overview of the clinical applicability of SDD in gastro-intestinal surgery."--Samenvatting auteur.